Individual provider · Type 1 NPI
Tracy Knutson
Military Health Care Provider · Elizabethtown, KY
NPI number
1225457252
Active
Practice location
1704 N Dixie Hwy # 913
Elizabethtown, KY 42701-9449
Mailing address
2549 Springfield Rd
Elizabethtown, KY 42701-6708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | R4676 (KY) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
2 other providers at this address
About NPI 1225457252
Tracy Knutson's National Provider Identifier is 1225457252, issued on Apr 7, 2014. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Elizabethtown, KY. The record was last updated on Apr 7, 2014.